Shunting for Idiopathic Normal-Pressure Hydrocephalus
Shunting for idiopathic normal-pressure hydrocephalus improves gait velocity.
- True
- False
Physical Medicine & Rehabilitation
Levodopa for Stroke Rehab
Among patients receiving inpatient rehabilitation for acute stroke, levodopa added to standardized rehabilitation significantly improves function at 3 months compared with placebo plus standardized rehabilitation.
- True
- False
Volume 41.4 - Question 14
Retrocalcaneal Bursitis
Which one of the following statements about retrocalcaneal bursitis is false?
- It is more common in men 40 to 60 years of age with Haglund deformity and a thickened Achilles tendon.
- The two-finger squeeze test is helpful for diagnosis.
- Ultrasound guided corticosteroid injections provide short-term relief but increase the risk of Achilles tendon rupture within 6 months.
- Conservative treatment is effective for the majority of patients.
Volume 41.4 - Question 13
Sever Disease
Which one of the following statements about Sever Disease is false?
- It commonly occurs in skeletally immature competitive athletes.
- It has a bilateral presentation in 60% of cases.
- The calcaneal squeeze test is helpful for diagnosis.
- Imaging is required to make a diagnosis in children.
Volume 41.4 - Question 12
Plantar Fasciitis
Which one of the following statements about plantar fasciitis is false?
- It affects about 6% of runners and active individuals.
- The Windlass test is more sensitive when executed in a weight bearing position.
- A plantar fascia thickness of 4 mm or more seen on ultrasonography supports the diagnosis.
- A regular walking program is not recommended for rehabilitation.
Volume 41.3 - Question 24
Achilles Tendon Injury
Which one of the following statements about Achilles tendon injury is false?
- Immobilization in a cast for 4 weeks in plantar flexion is appropriate if an acute rupture is diagnosed within 72 hours.
- The rerupture rate is less than 5% with surgical repair.
- Tendinopathy progresses to rupture in about 10% of cases.
- Thompson test is helpful for diagnosis.
Volume 41.3 - Question 23
Treatment of Vertebral Compression Fractures
Which one of the following statements about the treatment of vertebral compression fractures is false?
- Initial therapy for pain includes nonsteroidal anti-inflammatory drugs and acetaminophen.
- Bisphosphonates are recommended to improve pain.
- Bracing beyond 8 weeks is recommended.
- Physical activity initiated within 2 weeks of fracture may contribute to greater vertebral collapse.
Volume 41.3 - Question 17
Physiotherapy Versus Surgery for Small-to-Medium-Sized Rotator Cuff Tears
For small-to-medium sized full-thickness rotator cuff tears, long-term physiotherapy with optional secondary surgical repair was found to be superior to primary surgical repair at 15-year follow up.
- True
- False
Volume 41.2 - Question 22
Virtual Yoga for Chronic Low Back Pain
Virtual yoga classes may be an effective treatment option for chronic low back pain.
- True
- False
Volume 40.6 - Question 16
Carpal Tunnel Syndrome Management
Which one of the following statements about the management of carpal tunnel syndrome is false?
- Up to one-half of patients with nonsevere symptoms spontaneously improve within 2 years.
- Splints should be worn for at least 1 to 2 months.
- Short courses of prednisone (i.e., less than 2 weeks) are more effective than local corticosteroid injections.
- Yoga can improve pain and grip strength compared with wrist splinting.
Volume 40.2 - Question 12
Postural Insoles in Stroke
In stroke patients, postural insoles improve static balance, gait symmetry, and spatiotemporal gait parameters compared with physical therapy alone.
- True
- False
Volume 40.1 - Question 30
Plantar Fasciitis
Treatment of plantar fasciitis with botulinum toxin A therapy leads to clinically significant improvement in pain at 12 months.
- True
- False
Volume 37.6 - Question 30
Aquatic Exercise and Chronic Low Back Pain
Therapeutic aquatic exercise in the management of adults with chronic low back pain is more effective than passive physical therapy modalities (transcutaneous electrical nerve stimulation and infrared ray thermal therapy).
- True
- False
Volume 37.6 - Question 21
Chest Wall Pain
CC, a 45-year-old female, has an office visit today because she has been experiencing bilateral parasternal chest wall pain for the past week. Deep breaths, coughing, and stretching exacerbate her chest wall pain. The upper second through fifth costochondral and costosternal junctions are the areas where she experiences most of her pain. She was seen a few days ago in the emergency department and she was told that she had a chest wall condition.
Volume 37.2 - Question 32
Degenerative Meniscal Tears
Over a period of five years, for self-reported knee function, exercise-based physical therapy is non-inferior to arthroscopic partial meniscectomy for degenerative meniscal tears.
- True
- False
Volume 38.2 - Question 17
Virtual Pulmonary Rehab
For patients with COPD, virtual pulmonary rehabilitation compared to in-person pulmonary rehabilitation results in each one of the following except:
- Similar improvement in 6 minute walking distance.
- Similar reduction in symptoms of breathlessness.
- Similar improvement in quality of life score.
- Reduced program completion.
Volume 37.5 - Question 19
Dyspnea in Long Covid
In patients with COVID-19 who received mechanical ventilation and who have persistent dyspnea, dyspnea scores improve more with exercise training rehabilitation therapy than with standard physiotherapy.
- True
- False
Volume 39.1 - Question 26
Platelet-Rich Plasma Injections
For which musculoskeletal condition is platelet rich plasma injection not recommended?
- Conservative management of knee osteoarthritis.
- Conservative management of lateral epicondylitis.
- Expedited return to sport in patellar tendinopathy.
- Conservative management of Achilles tendinopathy.
Volume 39.2 - Question 24
Outcomes After Critical Illness
Which one of the following statements about outcomes after critical illness is false?
- ICU-acquired weakness includes polyneuropathy.
- Rotator cuff injuries can occur from a prolonged prone position.
- 1-year cognitive outcomes among ICU survivors are similar in severity to mild traumatic brain injury.
- Prolonged grief occurs in more than 50% of relatives of patients who die in the ICU.